Shrestha Rajiv, Shrestha Aanchal, Kan Jing, Chen Shaoliang
Nanjing Medical University, Nanjing, China.
Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Int J Cardiovasc Imaging. 2018 Nov;34(11):1679-1684. doi: 10.1007/s10554-018-1384-3. Epub 2018 Jun 1.
Optical coherence tomography (OCT) has emerged as one of the most promising tools to assist the optimization of percutaneous coronary intervention (PCI). Its ability to provide unique information on the plaque at high risk for rupture, plaque composition, the thickness of the fibrous cap, the presence of macrophage and thrombi has not only assisted simple PCI but also in many complex bifurcation lesions PCI. OCT has helped to provide valuable anatomic information to optimize stent implantation and adapt PCI strategy in individual patients. This review article summarizes the current role of OCT as an imaging technology and prediction of vulnerable plaque, its site and composition at the coronary bifurcation lesions for supporting the clinical decision.
光学相干断层扫描（OCT）已成为辅助优化经皮冠状动脉介入治疗（PCI）最具前景的工具之一。它能够提供有关易破裂斑块、斑块成分、纤维帽厚度、巨噬细胞和血栓存在情况等独特信息，不仅有助于单纯PCI，还对许多复杂分叉病变的PCI有帮助。OCT有助于提供有价值的解剖学信息，以优化支架植入并为个体患者调整PCI策略。这篇综述文章总结了OCT作为一种成像技术的当前作用，以及对冠状动脉分叉病变处易损斑块及其部位和成分的预测，以支持临床决策。
